- MyFlorida (Pensacola, FL)
- …Have passed a physical examination by a licensed physician, physician assistant , or licensed advanced practice registered nurse, based on specifications established ... but are not limited to: fraud against the Medicaid Program, false claims against the Medicaid program, investigating possible criminal violations of any applicable… more
- City of Jacksonville (Jacksonville, FL)
- …Work is performed under the direction of the General Counsel, or a supervising Assistant General Counsel IV as designated by the General Counsel and is reviewed ... renders opinions as to their legal validity and/or acceptability. + Investigates claims and complaints by or against the Consolidated Government and recommends… more
- MyFlorida (Port Saint Lucie, FL)
- …three (3) years of experience as a Risk Manager, Director of Nursing (DON), Assistant DON, or Unit Manager in a Skilled Nursing Facility. + Experience working with ... where appropriate and maintain data concerning patient injuries, resident grievances, claims , workers' compensation, and other risk-related data. + Complete and… more
- University of Miami (Miami, FL)
- …and domestic self-pay teams in requesting quotes + Work with Physician, Nurse Liaison and Administrative Assistant to appeal any denial or Peer to Peer review to ... with protocols and regulations. CORE JOB FUNCTIONS + Submits claims to insurance companies and follows up on outstanding... to insurance companies and follows up on outstanding claims . + Processes, remits, and posts payments to patients'… more
- City of Jacksonville (Jacksonville, FL)
- …Work is performed under the direction of the General Counsel or a supervising Assistant General Counsel IV as designated by the General Counsel and is reviewed ... and renders opinions as to their legal validity and/or acceptability. + Investigates claims and complaints by or against JEA and recommends action to be taken.… more